Module 3

Question 1

Pharmacist-Patient Relationship:

Answer 1

*essential to sound health care practice
*optimal well-being of the patient
-effective communication (verbal, nonverbal)
-mutual trust and respect
-ineffective communication = reduce accuracy of medical diagnosis

Question 2

is the sharing of information, ideas, thoughts, and feelings.
- spoken word,
- what is conveyed through inflection,
- vocal quality,
- facial expression,
- body posture, and other
- behavioral responses.

Answer 2

Communication

Question 3

As a first step toward communicating more effectively, pharmacists must _______. The goal of all communication is ______.

-Receiver must do more than recognize the words used in the message by the sender.
-The meaning of a message is held in common by the participants.

Answer 3

understand
the communication process…understanding

Question 4

sender must choose how to transmit that message. The medium of the message can be
* written,
*oral,
*nonverbal, or
*electronic

through words, sender =>
encode => message “choosing words that best convey the intended meaning” = > receiver.
* Communication usually takes place through multiple nonverbal channels as well.

Answer 4

N/A

Question 5

Feste argues that _______ has evolved out of the realization that patients cannot be forced to follow a lifestyle dictated by health-care professionals.
Effective communication = patient empowerment in the health care-patient relationship.

Answer 5

Patient empowerment model

Question 6

____ is more than an intervention or strategy to help people make
behavior changes to adhere to a treatment plan

Answer 6

Empowerment

Question 7

The interactions of a pharmacist and a patient usually can be categorized as either an _____ or _____ session.

Answer 7

information-gathering
information giving

Question 8

Usually is done during a medication-history interview, which is a conversation with a multifaceted purpose.

Answer 8

Information gathering

Question 9

Concept that refers to patients having the right to make their own choices about their health care.

Answer 9

Patient empowerment

Question 10

Why do Pharmacist Counsel?

Answer 10

-provides significant benefits (both patient, pharmacist)
-patient better understanding: 1) purpose for the prescribed therapy, 2) appropriate use of the medication.

Question 11

Patient Benefits (from counsel):

Answer 11

⬆️therapeutic outcomes, ⬇️ adverse effects
⬆️patient adherence to the treatment plan
⬇️medication errors and misuse
⬆️patient self-management by involving the patient in designing the therapeutic plan
Potential for ⬇️ health care costs due to appropriate use of medications and prevention of adverse events

Question 12

Pharmacist Benefits (from counsel):

Answer 12

⬆️professional status in the view of patients and other health care providers.
*Establishment of an essential component of patient care that cannot be replaced by technicians or automation.
⬆️job satisfaction through improving patient outcomes
*Value-added service to offer patients.
*Revenue generation through payment for counseling services– limited at present but growing
*Fulfillment of legal responsibility to counsel patients according to the OBRA 90 guideline

Question 13

Result of a properly conducted counseling interaction:

Answer 13

the patient will:
▪ Recognize why a prescribed medication is helpful for maintaining or promoting well-being
▪ Accept the support from the health care professional in establishing a working relationship and foundation for continual interaction and consultation
▪ Develop the ability to make more appropriate medication-related decisions concerning compliance or adherence
▪ Improve coping strategies to deal with medication side effects and drug interactions
▪ Become a more informed, efficient, active participant in disease treatment and self-care management
▪ Show motivation toward taking medications to improve his or her health status

Question 14

• It is used in conjunction with SCHOLAR HAMS in order to assess the patient’s problem, determine if they are self-care candidate, select the most appropriate non-RX product along w/ general care measures.
• It is also reminds us to counsel the patients on the 5 aspects of their non-RX medications

Answer 14

QUICKLY, ESTABLISH, SUGGEST, TALK (QUEST)

Question 15

• It is used in order to remember what you need to question a patient about for Qu in QUEST in order to quickly assess the patient.
• Getting the history of present illness after they say their chief complaint.
• Patient tells the chief complaint and all subjective information.

Answer 15

SYMPTOMS, CHARACTERISTICS, HISTORY, ONSET, LOCATION, AGGRAVATING
FACTORS AND REMITTING FACTORS (SCHOLAR)

Question 16

▪HEALTH CONDITIONS
▪ALLERGIES
▪MEDICATIONS

Answer 16

HAM

Question 17

These principles encourage activities that help children and adolescents to become active participants in their own health behavior, particularly with regard to medication use.

Answer 17

Counseling children and adolescents